| NPI | 1275841009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR T JULIAN Administrator 301-270-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health (Licence: PA 04550501) |
| 253Z00000X In Home Supportive Care (Licence: PA 04550501) | |
| 251J00000X Nursing Care (Licence: PA 04550501) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2012-02-27 |